John W White Jr, MD is a medicare enrolled "Family Medicine" physician in Verona, Mississippi. His current practice location is
1423 Palmetto Rd, Verona, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 566-5593.
John W White Jr is licensed to practice in Mississippi (license number 17285) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457364606.
Physician's Profile
Full Name | John W White Jr |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 1423 Palmetto Rd, Verona, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457364606
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 09/14/2011
Medicare PECOS Information:
- PECOS PAC ID: 1658289277
- Enrollment ID: I20060403000487
Medical Identifiers
Medical identifiers for John W White Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457364606 | NPI | - | NPPES |
0124378 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 17285 (Mississippi) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. John W White Jr allows following entities to bill medicare on his behalf.
Entity Name | North Mississippi Medical Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053469486 PECOS PAC ID: 6103736665 Enrollment ID: O20040127000582 |
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Entity Name | Express Care Of Fulton |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780890517 PECOS PAC ID: 7012947484 Enrollment ID: O20050816000310 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John W White Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
John W White Jr, MD Po Box 429, Verona, MS 38879-0429 Ph: (662) 566-5593 | John W White Jr, MD 1423 Palmetto Rd, Verona, MS 38879-0429 Ph: (662) 566-5593 |
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